Jenkins, Brad N

Jenkins, Brad N is an individual health care provider with primary practice located at 2508 Crestwood Lane , North Little Rock AR 72116-7623. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jenkins, Brad N can be contacted via phone (501) 758-2294.

Contact Information

Primary practice address
2508 Crestwood Lane North Little Rock AR 72116-7623
Phone: (501) 758-2294
Fax: (501) 758-7887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E2046 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-2046 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-2046 Arkansas

Profile Details

NPI number 1568571438
LBN Legal business name Jenkins, Brad N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568571438 NPPES
Arkansas Other 7824049 AETNA
Arkansas Other 435276 AETNA
Arkansas MEDICAID 136241001 AETNA
Arkansas Other 19145000040 AETNA

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